Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, 123 Moo 16 Mittraphap Rd., Nai-Muang, Muang District, Khon Kaen, 40002, Thailand.
Department of Anatomy, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
J Orthop Surg Res. 2024 Apr 12;19(1):235. doi: 10.1186/s13018-024-04718-8.
As the anatomical variations of the foot, enlarged peroneal tubercle (EPT) and accessory anterolateral talar facet (AALTF) have attracted the attention of foot surgeons in recent years. However, EPT and AALTF have not been examined for a relationship with calcaneus spur (CS) as a common osteophyte.
The subjects were 369 individuals who died in northeastern Thailand and were preserved as skeletal specimens. The authors examined for the presence of left and right EPT, AALTF, and calcaneus spur (CS). We divided the EPT (+) group with EPT and the EPT (-) group without it and also divided the AALTF (+) group with AALTF and the AALTF (-) group without it. The age at death and the presence of CS were compared statistically between the EPT (+) and EPT (-) groups and between the AATLF (+) and AALTF (-) groups.
Out of the total 369 cases, EPT was found in 117 cases (31.7%), AALTF was positive in 91 cases (24.7%), and CS was found in 194 cases (52.3%). In comparison between EPT (+) and EPT (-) groups, CS was significantly higher (p < 0.0001) in the EPT (+) group, but there was no significant difference in age at death. In comparison between AALTF (+) and AALTF (-) groups, there was no significant difference in age at death or CS.
This study showed a strong relationship between EPT and CS, and the prevalence of EPT and AALTF by age in Thailand was first reported. We believe it helps to know the pathogenesis and biomechanism of EPT and AALTF.
Not applicable.
近年来，足部解剖变异，如增大的腓骨结节（EPT）和副前外侧距骨面（AALTF），引起了足外科医生的关注。然而，EPT 和 AALTF 尚未被研究与跟骨骨刺（CS）之间的关系，因为 CS 是一种常见的骨赘。
研究对象为 369 名在泰国东北部死亡并被保存为骨骼标本的个体。作者检查了左、右侧 EPT、AALTF 和跟骨骨刺（CS）的存在情况。我们将 EPT（+）组与 EPT 组和 EPT（-）组无 EPT 进行分组，也将 AALTF（+）组与 AALTF（-）组无 AALTF 进行分组。统计分析了 EPT（+）组与 EPT（-）组和 AATLF（+）组与 AALTF（-）组之间的年龄和 CS 的存在情况。
在总共 369 例中，117 例（31.7%）发现 EPT，91 例（24.7%）存在 AALTF，194 例（52.3%）发现 CS。EPT（+）组和 EPT（-）组之间的比较显示，EPT（+）组的 CS 明显更高（p<0.0001），但在死亡年龄上无显著差异。AALTF（+）组和 AALTF（-）组之间的比较显示，死亡年龄或 CS 无显著差异。
本研究表明 EPT 与 CS 之间存在很强的关系，并且首次报道了泰国 EPT 和 AALTF 的年龄分布情况。我们相信这有助于了解 EPT 和 AALTF 的发病机制和生物力学。
不适用。
